Organization
ABRAZO DE ANGEL THERAPY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARANYELIZ IVETTE OLIVERA OTA (CO- OWNER)
(787) 946-9995
Entity
Organization
Contact information
Practice address
CALLE BORI 1528, LOCAL 'A', SAN JUAN, PR 00927-6116
(787) 946-9995
Mailing address
CALLE BORI 1528 (MARGINAL CARR. PR-1), SAN JUAN, PR 00927-6116
(787) 946-9995
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4845804
PR
251C00000X
Developmentally Disabled Services Day Training Agency
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Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4359634
—
PR
Enumeration date
04/24/2013
Last updated
07/09/2013
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